GEORGE RYAN DECLERK M.D.
NPI 1205037611
Family Medicine in Rogers, AR

Active since May 31, 2007PECOS EnrolledAccepts Medicare Assignment
92.94/100
CMS Quality Rating
2603 W PLEASANT GROVE RD, SUITE 109, ROGERS, AR 72758(479) 636-4138(479) 636-4140 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About George Ryan Declerk M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGE RYAN DECLERK M.D. (NPI 1205037611) is an individual family medicine provider in Rogers, Arkansas, licensed in Arkansas (E5450) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (2006).

NPPES Registry Identity

NPI1205037611
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGEORGE RYAN DECLERKCredential: M.D.
Location Address2603 W PLEASANT GROVE RD, SUITE 109Rogers, AR 72758-5804
Mailing Address2603 W Pleasant Grove Rd, Suite 109Rogers, AR 72758-5804 · (479) 636-4138 · Fax (479) 636-4140
Fax(479) 636-4140
Sole ProprietorYes
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2006
Enumeration DateMay 31, 2007
Last NPPES UpdateSeptember 9, 2020
NPPES CertifiedSeptember 9, 2020
NPI 1205037611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AR · E5450
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2603 W PLEASANT GROVE RD, Rogers, AR 72758

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

George Ryan Declerk M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456410182
PECOS Enrollment IDI20081110000303
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
279 services141 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
241 services141 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
151 services97 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
110 services110 patients
Annual alcohol misuse screening, 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
45 services45 patients
Annual depression screening, 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
41 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72758 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality81.54
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
51%179 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
45%419 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
9%97 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers16 claims29 services$6.12 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$1.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Physical Therapy)
2603 W PLEASANT GROVE RD, STE 104
ROGERS, AR 72758
Physical Therapist
2603 W PLEASANT GROVE RD, STE 104
ROGERS, AR 72758
Physical Therapist
2603 W PLEASANT GROVE RD
ROGERS, AR 72758
Physical Therapist
2603 W PLEASANT GROVE RD
ROGERS, AR 72758

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205037611, enumerated as an "individual" on May 31, 2007.

The provider is located at 2603 W PLEASANT GROVE RD SUITE 109 ROGERS, AR 72758 and the phone number is (479) 636-4138.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.